Job Title: Medical Claims Processor Location: Remote – Must reside in DC, MD, VA, WV, NC, PA, NJ, FL, NY, DE, or TX Placement: 3 month contract with potential to get extended based on productivity About the Role We are seeking a detail-oriented and motivated Claims Processor to join our team. In this role, you will review and adjudicate paper and electronic claims under direct supervision, ensuring accurate and timely processing in accordance with organizational policies and procedures. Key Responsibilities Claims Processing (60%) + Examine and resolve non-adjudicated claims. + Identify key processing elements based on contracts, policies, and procedures. + Process product- or system-specific claims, calculate deductibles and maximums, and ensure timely payments. + Use automated systems to manage pending claims and ensure accurate completion. Research & Accuracy (25%) + Apply training materials, correspondence, and medical policies to ensure claim accuracy. + Collaborate with the Quality team and leadership for guidance on complex claims. + Participate in ongoing training and development. Performance Reporting (10%) + Complete daily productivity data for performance tracking and planning purposes. Collaboration (5%) + Work with multiple departments to resolve issues and answer basic processing questions. Qualifications + High School Diploma or GED + 3+ years of experience in claims processing, billing, and medical terminology + Strong MS Office skills Skills & Competencies + Strong analytical and reading comprehension skills + Ability to follow detailed instructions + Basic written and verbal communication skills + Proficiency in navigating computer applications + Ability to work in a fast-paced environment with shifting priorities + Excellent customer service skills, even in challenging situations Additional Requirements + Must immediately disclose any debarment or exclusion from Federal healthcare programs. + Must be able to meet deadlines and manage multiple service demands. + Must reside in one of the following states: DC, MD, VA, WV, NC, PA, NJ, FL, NY, DE, or TX. Pay and Benefits The pay range for this position is $23.16 - $23.16/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jul 24, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.